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Biomedical subjects

J C Key

Publications and source records attributed to J C Key.

13 recordsLinked to original sources
PubMed1982

Nutritional support of the surgical patient.

Malnutrition, unfortunately, is not uncommon and malnourished patients suffer increased morbidity and mortality from surgery. Identification of protein-calorie deficient patients can be performed rapidly and inexpensively through standard techniques of nutritional assessment. If the gastrointestinal tract is available, safe and economic nutritional support may be provided by mouth or by tube feeding. If the gastrointestinal tract cannot be utilized, total parenteral nutrition (TPN) may be instituted via a central vein, or in selected instances peripheral amino acids, fat emulsions, or both may suffice. When failure of various organs (heart, kidneys, liver) complicates malnutrition and the underlying surgical condition, adequate nutritional support can and should be provided by adjustment of the amount and content of commercially available nutritional formulations. Optimal surgical care demands the identification and appropriate nutritional support of malnourished patients.

Amino Acids↗
PubMed1980

Surgical treatment of carcinoma of the anus.

We studied 37 cases of carcinoma of the anus treated from 1950 to 1977, reviewing preexisting anorectal disorders, presenting symptoms, anatomic location, and histologic classification. There was a fivefold female-to-male predominance. Most patients presented in the seventh decade of life and exhibited alarming delays in seeking professional care. The crude five-year survival rate for all patients was 64%. Synchronous inguinal node metastasis is a poor prognostic sign, but some patients achieved excellent survival statistics after groin dissection. Guidelines for surgical management are presented.

Adult↗
PubMedDate not supplied

Perioperative stabilization of glucose levels in patients supported with total parenteral nutrition.

Fourteen nondiabetic and 6 diabetic patients were maintained on total parenteral nutrition during major surgery. Glucose levels when compared to preoperative levels increased during and after surgery although there were no significant differences between the diabetic and nondiabetic groups. Serum sodium demonstrated a slight decrease and serum potassium a slight increase after surgery in both groups. Total parenteral nutrition can be maintained during surgery provided glucose and electrolyte levels are observed and appropriate insulin doses are administered to diabetic patients.

Adult↗